What to bring to your first appointment:

  • Your completed new patient intake found below.  You can print it out, complete it and bring it in with you to your first visit.  If you don’t have access to a printer just come in a few minutes early and fill it out in office.
  • Any recent or pertinent medical records you have including labs or imaging reports. You can either bring these with you or have them sent.  There is a release of records form below if needed.
  • Bring all medications and supplements you are currently taking or a complete list including amounts and dosages of each.
  • Your insurance card and identification if you are billing insurance.   Click here to see if Dr. Schulz is in network with your insurance company.

Forms

Adult Intake. pdf

Pediatric Intake ages 0-15

Clinic Policies

Release of Records

Insurance Verification

Handouts

diet_diary

gluten-free_grains

menses symptom chart

detoxification-questionnaire


Policies:

As a patient service, we bill insurance companies. There are no guarantees about insurance coverage. We recommend that you call your insurance company and confirm that you have naturopathic benefits that cover Dr. Schulz. Full payment of fees or co-payment is expected at the time of service. Any fees for services billed to insurance companies that are not paid are the sole responsibility of the patient or patient’s parent/guardian.  If the patient is a Medicare recipient without a secondary, we cannot process the claim.
Cancellation policy: If you need to change or cancel your appointment, you are required to give at least 24 hours notice.  Appointments that are either missed or canceled with less than 24 hours notice (excluding emergencies) will be charged a $35 fee.

Phone/e-mail policy:  You are welcome to call or email Dr. Schulz regarding any questions you have about your current treatment.  Questions requiring more than 10 minutes, or not related to your current treatment plan, will be charged at the regular hourly rate.